The nurse administers an incorrect dose of medication to a patient. After assessing the patient, the nurse calls the physician to report the occurrence and then notifies the nursing supervisor about the medication error and completes an incident report. The nurse's manager takes a Quality Management (QM) approach. Which of the following is not a principle of QM?

Choice A reason: Asking what happened to initiate the disagreement is a direct approach to understanding the root cause of the conflict. It allows the nurse manager to gather facts and assess the situation before making any judgments.

Choice B reason: Understanding the impact on the client's perception of care is important, but it is secondary to resolving the conflict between the staff members. The immediate concern is to address the cause of the disagreement.

Choice C reason: Asking why one thinks the other is wrong may escalate the conflict by focusing on blame rather than resolution. It is more constructive to understand the events that led to the disagreement.

Choice D reason: Knowing how long the nursing assistants have been working together could provide context to their working relationship, but it does not address the immediate issue of the disagreement.

Choice A reason: Cultural sensitivity is important, but it is not the sole indicator of patient satisfaction.

Choice B reason: Cost-effectiveness is a factor in healthcare management but does not directly reflect patient satisfaction.

Choice C reason: The economic value of service is more related to the financial aspect of healthcare rather than patient satisfaction.

Choice D reason: Patient outcomes and their perceptions of care are direct measures of patient satisfaction, as they reflect the quality and effectiveness of the nursing care received.